Since donovanosis is an infectious disease caused by bacteria, treatment is usually done using antibiotics to eliminate the infection.
The most widely used antibiotics are:
- Azithromycin; Doxycycline; Ciprofloxacin; Erythromycin; Sulfamethoxazole.
The choice of the antibiotic should be made by a general practitioner, urologist or an infectologist, according to the symptoms presented and the clinical history of each person. However, it is normal to take one of these antibiotics for at least 3 weeks in a row and keep using it until the wounds in the genital area are completely healed.
If the symptoms of donovanosis do not improve in the first days of treatment, it may be necessary to go back to the doctor to add another antibiotic, usually an aminoglycoside, such as gentamicin, for example.
Care during treatment
In addition to taking the antibiotic according to the indicated plan, during treatment it is very important to have regular consultations with the doctor so that the evolution of the disease is correctly evaluated, with the possibility of changing antibiotics if necessary. Ideally, the intimate area should be kept clean to prevent infection of the wound and facilitate healing of the site.
In addition, it is advisable to avoid sexual contact or use a condom to prevent transmission of the infection until the symptoms have completely disappeared and the treatment has ended.
If you have had sexual contact in the last 60 days before the diagnosis of donovanosis, it is also important to inform your partner to see a doctor and evaluate the possibility of also having the infection, starting treatment if necessary.
Signs of improvement
The main symptom of improvement in donovanosis is the healing of the wound that normally appears in the genital region. So, to confirm the cure of the disease it is very important to go to the doctor, even after the wound has disappeared, to do tests.
Signs of worsening
Signs of worsening are more common when treatment is not started on time or when the selected antibiotic is having no effect. In these situations it is common for the wound to show no signs of healing and to worsen, getting bigger and showing more bleeding.
If there are signs of worsening, it is advisable to go back to the doctor to assess the need to change the antibiotic that was being used, for another that may have a better effect. Sometimes, the doctor may even order a profile examination of sensitivity and resistance to antibiotics, to find out which ones can be most effective in treatment.
